Breakthrough Clinical oral pathology case: No. 25

Oral pathology case from Dr. Stacey Simmons: A 77-year-old male presents for his annual checkup and exam. CC: A white spot on the left side of his tongue that had been present for just less than a year. Based on the clinical assessment, can you diagnose this lesion?

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Oral pathology case from Dr. Stacey Simmons: A 77-year-old male presents for his annual checkup and exam. CC: A white spot on the left side of his tongue that had been present for just less than a year. Based on the clinical assessment, can you diagnose this lesion?


This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

A 77-year-old male presents for his annual checkup and exam. He only visits our office once a year and alternates with his dentist in California the other six months, where he is a snowbird during the winter. The patient's health history was noncontributory except for blood pressure medication.

The patient's chief complaint was a white spot on the left side of his tongue that had been present for just less than a year. Clinical assessment revealed a 6 x 8 mm white leukoplakic lesion on the left lateral border of the tongue. It was not painful to palpation or touch. The lesion was slightly corrugated with irregular borders.

What is your recommendation and differential diagnosis?

Send your answers to DEbreakthrough@pennwell.com or join our Facebook group to discuss this oral pathology case and more. Next month we will discuss the final diagnosis and recommended treatment for this case.

This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.


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Do you have an interesting oral pathology case you would like to share with Breakthrough’s readers? If so, submit a clinical radiograph or high-resolution photograph, a patient history, diagnosis, and treatment rendered to: DEbreakthrough@pennwell.com. We will let you know if we select your case!


Stacey L. Simmons, DDS, is in private practice in Hamilton, Montana. She is a graduate of Marquette University School of Dentistry. Dr. Simmons is a guest lecturer at the University of Montana in the Anatomy and Physiology Department. She is the editorial director of PennWell’s clinical dental specialties newsletter, DE’s Breakthrough Clinical with Stacey Simmons, DDS, and a contributing author for DentistryIQ, Perio-Implant Advisory, and Dental Economics. Dr. Simmons can be reached at ssimmonsdds@gmail.com.


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